[The challenges of surgical tourism in the field of aesthetic surgery].

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ID: 73897
2019
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Abstract
Surgical tourism is a growing phenomenon, causing a surge demand for the management of its complications. In this study, we aimed to evaluate complications that occur after cosmetic breast surgery abroad; and their costs for the public health system.We reviewed the medical files of patients treated in our department for a complication after cosmetic breast surgery outside Switzerland and assessed all complications requiring hospitalization; and estimated the overall medical costs.Over a two-year period, 26 patients were treated for 39 complications. The main complication was infection (71% of cases), mainly with a multidrug-resistant organism (47%) and atypical mycobacteria. Of the 16 patients with breast prosthesis, 7 implants were removed. The effective average costs incurred for the hospital care of these cases was estimated to 14'724 Swiss Francs (∼12'963 Euros) per patient.The high rate of multidrug-resistant and mycobacterial atypical infections are a major public health problem. It is necessary to inform patients much better about the risks of surgical tourism. Furthermore, the danger of transfer of multidrug-resistant or atypical germs from abroad should not be overlooked. Physicians should be informed about this risk and take necessary measures for treatment and diagnosis of these complications.
Reference Key
parelamini2019theannales Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Parel-Amini, L;Uçkay, I;Rüegg, E M;Homsy, A;Pittet-Cuénod, B;Modarressi, A;
Journal annales de chirurgie plastique et esthetique
Year 2019
DOI
S0294-1260(19)30094-9
URL
Keywords
bactérie multirésistante infection postopératoire multidrug-resistant bacterium mycobacteria mycobactérie postoperative infection surgical tourism tourisme chirurgical

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